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Clinical Trials/NCT07367347
NCT07367347CompletedNot Applicable

The Effect of Increased BMI on Efficacy of Labor Analgesia: A Retrospective Cohort Study

Mariah Arif1 site in 1 country9,000 target enrollmentStarted: February 2, 2025Last updated:
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Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
9,000
Locations
1
Primary Endpoint
Success rate of labor analgesia
Study OverviewStudy DesignEligibility CriteriaArms & InterventionsOutcomesInvestigatorsSitesRecords & IdentifiersSimilar Trials

Study Overview

Brief Summary

This study seeks to identify the most effective neuraxial technique for labor analgesia in Class III parturient

Detailed Description

This retrospective cohort study collected data on eligible participants from the electronic medical records.

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Retrospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Age > or equal to 18 years
  • •BMI ≥ 40 kg/m²
  • •Gestational age ≥ 28 weeks

Exclusion Criteria

  • •Age < 18 years
  • •BMI < 40 kg/m²
  • •History of venous thromboembolism or arterial disease (e.g., DVT, PE, angina, MI, or stroke)
  • •Severe active lung, cardiovascular, renal, or liver disorders; autoimmune disease; or hemoglobinopathies
  • •Hereditary or acquired thrombophilia (e.g., Factor V Leiden mutation or antithrombin deficiency)
  • •In utero fetal demise (IUFD)
  • •Failed operative vaginal delivery
  • •Cesarean for the second twin or multiple pregnancies (triplets or higher)
  • •IVF pregnancy
  • •Intraoperative bleeding>1500mL
  • •Emergency cesarean section (Category I)
  • •Presence of large uterine fibroid ≥10 cm.

Arms & Interventions

Class III obese parturient

Class III obese parturient receiving neuraxial analgesia

Intervention: Neuraxial analgesia (Procedure)

Outcomes

Primary Outcomes

Success rate of labor analgesia

Time Frame: onset of neuraxial analgesia to completion of labor

The success rate of each technique will be determined by: Number of patients requiring a physician top-up bolus Block symmetry First-attempt success rate

Secondary Outcomes

  • Maternal adverse events(onset of neuraxial analgesia to completion of labor)
  • Fetal adverse events(at 1 and 5 minutes after birth)

Investigators

Sponsor
Mariah Arif
Sponsor Class
Other Gov
Responsible Party
Sponsor Investigator
Principal Investigator

Mariah Arif

Resident Physician

Hamad General Hospital

Study Sites (1)

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Effect of Increased BMI on Efficacy of... | Clinical Trial